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TRIHEALTH INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
TRIHEALTH INC (EIN 31-1438846)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201401349349301120
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T08:09:27-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN440160260EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1312 WALNUT STREET SUITE 3000AddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311438846EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TRIHEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTRIHNameControl
Phone5135696575Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1619 OAK STREET - ACCOUNTING 3 WESTAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45206ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL CROFTONName
TitleVP FINANCETitle
Phone5135696575Phone
Date Signed2014-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
PTINP00961884PTIN
Phone5136218300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN S PROUTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1619 OAK STREET - ACCOUNTING 3 WESTAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45206ZIPCode
FieldValueIRS element (for citing)
Gross Receipts184339850GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW. TRIHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1653TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2004692ContributionsGrantsPriorYear
Contributions Grants Current Year2105530ContributionsGrantsCurrentYear
Program Service Revenue Prior Year150933793ProgramServiceRevenuePriorYear
Program Service Revenue CY179555216ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year265936InvestmentIncomeCurrentYear
Other Revenue Prior Year-677852OtherRevenuePriorYear
Other Revenue Current Year1281715OtherRevenueCurrentYear
Total Revenue Prior Year152260633TotalRevenuePriorYear
Total Revenue Current Year183208397TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY598223GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1139976SalariesEtcPriorYear
Salaries Etc Current Year87670664SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year151211970OtherExpensePriorYear
Other Expenses Current Year95081101OtherExpensesCurrentYear
Total Expenses Prior Year152351946TotalExpensesPriorYear
Total Expenses Current Year183349988TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-91313RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-141591RevenuesLessExpensesCY
Total Assets BOY178585720TotalAssetsBOY
Total Assets EOY180194440TotalAssetsEOY
Total Liabilities BOY160477767TotalLiabilitiesBOY
Total Liabilities EOY176351393TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18107953NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3843047NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense183349988Expense
Grants598223Grants
Revenue179700678Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense183349988TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096296NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1653NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMICHAEL CROFTONNamePerson
Telephone Number5135696577TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1619 OAK STREET - ACCOUNTING 3 WESTAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45206ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MICHAEL HAVERKAMP
TRUSTEE1.003.00X000
ROBERT WALKER
CHAIRMAN1.003.00X000X
JOHN PROUT
PRESIDENT/CEO25.0035.00X19919210331413X
PAUL EDGETT III
TRUSTEE1.003.00X000
THOMAS FINN
SECRETARY1.003.00X000X
MYRTIS POWELL
TRUSTEE1.003.00X000
SR SALLY DUFFY
TRUSTEE1.003.00X000
MICHAEL MCGRAW
VICE CHAIR/TREASURER1.003.00X000X
STEPHEN BLATT MD
TRUSTEE/MED STAFF PRES-GOOD SAM1.0018.00X1238374500020252
STUART DONOVAN MD
TRUSTEE/MED STAFF PRES-BETHESDA1.0011.00X0657930
CRAIG EISENTROUT MD
TRUSTEE1.003.00X000
WAYNE SHIRCLIFF
TRUSTEE1.003.00X000
DONNA NIENABER ESQ
SVP CORP COUNSEL/ASST SECRTRY25.0035.005406990164782X
CRAIG RUCKER
SVP CFO/ASST TREASURER25.0035.006189810143478X
WILLIAM GRONEMAN
EXEC VP SYSTEM DEVELOPMENT25.0035.005786410178557X
GERALD OLIPHANT
EXEC VP & COO25.0035.006605420139447X
GEORGES FEGHALI MD
CHIEF MEDICAL OFFICER25.0035.006642940181461X
RICHARD MOORE
CHIEF INFORMATION OFFICER60.000.004356650112520X
WALTER MCLARTY
CHIEF HR OFFICER60.000.004021850125922X
STEPHEN SCHWALBE
SVP STRATEGIC PLANNING60.000.004007530133633X
DAVE DORNHEGGEN
COO-GOOD SAM/BETHESDA HOSPITALS60.000.003960950120368X
SHER MCCLANAHAN
SVP CLINIC/OP TRANSFORMATION60.000.003914770114389X
MICHAEL CROFTON
FORMER OFFICER25.0035.00300076079447X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7505166TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs110793TotalReportableCompFrmRltdOrgs
Total Other Compensation1845669TotalOtherCompensation
Number Individuals GT100 K151NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DELOITTE CONSULTING LLC
250 EAST 5TH STREETCINCINNATIOH45201CONSULTING7696055
TRI-STATE HEALTHCARE LAUNDRY INC
551 S LOOP ROADEDGEWOODKY41017LAUNDRY3144631
FORSYTHE SOLUTIONS GROUP
7770 FRONTAGE ROADSKOKIEIL60077INFORMATION TECHNOLOGY2787464
EPIC SYSTEMS CORP
1979 MILKY WAYVERONAWI53593INFORMATION TECHNOLOGY2695963
PUBLICIS INC
950 SIXTH AVENUENEW YORKNY10001ADVERTISING2340399
FieldValueIRS element (for citing)
Number Of Contractors GT100 K107NumberOfContractorsGT100K
Related Organizations101634RelatedOrganizations
All Other Contributions2003896AllOtherContributions
Total Contributions2105530TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
SHARED SERVICES REV.900099171379137171379137
EMR MEANINGFUL USE REV90009943486754348675
AFFILIATED BILLING REV90009933764973376497
AFFILIATED RENTAL REV.531120450907$450,907
FieldValueIRS element (for citing)
Total Program Service Revenue179555216TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column272059TotalRevenueColumn
Exclusion$272,059ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real760937Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real817308Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-56371Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-56371TotalRevenueColumn
Exclusion-$56,371ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other129046Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other135169Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-6123Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-6123TotalRevenueColumn
Related Or Exempt Function Income-6123RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Sales Of Inventory270586GrossSalesOfInventory
Cost Of Goods Sold178976CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column91610TotalRevenueColumn
Related Or Exempt Function Income91610RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA REVENUE900099535594$535,594
PURCHASE CARD REBATES900099201421201421
VENDING REVENUE900099200000$200,000

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column309461TotalRevenueColumn
Related Or Exempt Function Income309461RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1246476TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column183208397TotalRevenueColumn
Related Or Exempt Function Income179700678RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,402,189ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total598223Total
Program Services598223ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6338307Total
Program Services6338307ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total59683295Total
Program Services59683295ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5786818Total
Program Services5786818ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11578435Total
Program Services11578435ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4283809Total
Program Services4283809ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total110722Total
Program Services110722ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5048698Total
Program Services5048698ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total647303Total
Program Services647303ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total33719318Total
Program Services33719318ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total5433686Total
Program Services5433686ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3830714Total
Program Services3830714ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total22098828Total
Program Services22098828ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2835630Total
Program Services2835630ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total544188Total
Program Services544188ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16289396Total
Program Services16289396ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1013360Total
Program Services1013360ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
EQUIPMENT13516321351632
DUES & SUBSCRIPTIONS681252681252
MEDICAL/DIETARY SUPPLY610990610990
ALLOCATION390213390213

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total475171Total
Program Services475171ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total183349988Total
Program Services183349988ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY563342BOY
EOY907326EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY19442118BOY
EOY19434183EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis130771443LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec44081992LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY75777047BOY
EOY86689451EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY82803213BOY
EOY73163480EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY178585720BOY
EOY180194440EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY45929369BOY
EOY47091834EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY573516EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY114548398BOY
EOY128686043EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY160477767BOY
EOY176351393EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18107953BOY
EOY3843047EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18107953BOY
EOY3843047EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY178585720BOY
EOY180194440EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-141591ReconcilationRevenueExpenses
Reconcilation Other Changes-14123315ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
BETHESDA HOSPITAL INC
3105371223111$0
GOOD SAMARITAN HOSPITAL OF CINTI
3105374863111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART I, LINE 11H, COLUMN (VII) - AMOUNT OF SUPPORT TRIHEALTH, INC. ("TRIHEALTH") WAS CREATED UNDER A JOINT OPERATING AGREEMENT BETWEEN BETHESDA HOSPITAL, INC. ("BETHESDA") AND THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("GOOD SAMARITAN"). ITS PURPOSE IS TO OPERATE AND JOINTLY MANAGE BETHESDA, GOOD SAMARITAN AND THEIR SUBSIDIARIES/AFFILIATES THUS PROVIDING A COMPREHENSIVE AND INTEGRATED PROVIDER BASE TO OPTIMIZE THE HEALTH STATUS OF THE COMMUNITY. TRIHEALTH PROVIDES ADMINISTRATIVE SUPPORT SERVICES WHICH INCLUDES GENERAL ADMINISTRATION, INFORMATION SYSTEMS, FINANCE, HUMAN RESOURCES, AND OTHER GENERAL SUPPORT SERVICES. FOR THE TAX YEAR, ENDED JUNE 30, 2013, TRIHEALTH PROVIDED ADMINISTRATIVE SUPPORT SERVICES IN THE AMOUNT OF $171.4 MILLION.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$8,479OtherActivitiesAmount
Total Lobbying Expenditures IIB8479TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationDURING THE TAX YEAR, TRIHEALTH, INC. PAID ANNUAL MEMBERSHIP DUES TO VARIOUS NATIONAL, STATE AND LOCAL ORGANIZATIONS, A PORTION OF WHICH RELATED TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9281472OtherCostOrOtherBasis
Depreciation2843732Depreciation
Book Value6437740BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3556460OtherCostOrOtherBasis
Depreciation1475259Depreciation
Book Value2081201BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis105121950OtherCostOrOtherBasis
Depreciation39763001Depreciation
Book Value65358949BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12811561OtherCostOrOtherBasis
Book Value12811561BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings86689451TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM RELATED ORGANIZATIONS72134774
INVESTMENT IN UNCONSOLIDATED ORGANIZATIONS728706
ESCROW DEPOSIT300000
FieldValueIRS element (for citing)
Total Book Value Other Assets73163480TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
INVESTMENT IN SUBSIDIARIES$90,325,945
PENSION LIABILITY$27,936,092
ACCRUED EIB$4,318,381
ACCRUED WORKERS COMPENSATION$1,011,123
MALPRACTICE LIABILITY$5,094,502
FieldValueIRS element (for citing)
Total Of Amounts128686043TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationFOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF TRIHEALTH THAT REPORTS ITS AND ITS SUBSIDIARIES AND AFFILIATES LIABILITY, IF APPLICABLE, FOR CERTAIN TAX POSITIONS UNDER ASC 740-10-25: TRIHEALTH COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT JUNE 30, 2013, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AT JUNE 30, 2013.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
UPTOWN CONSORTIUM INC
629 OAK STREET SUITE 306CINCINNATIOH45206200688727501(C)(3)290000GENERAL PURPOSES
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVEDALLASTX75231135613797501(C)(3)100000SPONSORSHIP
CENTER FOR RESPITE CARE INC
PO BOX 141301CINCINNATIOH45229202544994501(C)(3)50000GENERAL PURPOSES
GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC
619 OAK STREETCINCINNATIOH45206311206047501(C)(3)12000SPONSORSHIP
NAACP - CINCINNATI BRANCH
4439 READING ROAD SUITE 222CINCINNATIOH45229616052600501(C)(3)8000SPONSORSHIP
BETHESDA FOUNDATION INC
619 OAK STREETCINCINNATIOH45206237374129501(C)(3)57000SPONSORSHIPSPONSORSHIP
THE HEALTH COLLABORATIVE
2649 ERIE AVENUE 2ND FLOORCINCINNATIOH45208311449807501(C)(3)42500GENERAL PURPOSES
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants7TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: TRIHEALTH OBTAINS AND STORES ALL NECESSARY INFORMATION FROM THE RECIPIENT ORGANIZATION RELATIVE TO HOW THE FUNDS WILL BE SPENT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN PROUT
PRESIDENT/CEO897189044000006547320322151092620232333406233960
STEPHEN BLATT MD
TRUSTEE/MED STAFF PRES-GOOD SAM123837000045000202520001440894500000
DONNA NIENABER ESQ
SVP CORP COUNSEL/ASST SECRTRY317613017946504362101484840162980705481000
CRAIG RUCKER
SVP CFO/ASST TREASURER428317016602502463901327780107000762459000
WILLIAM GRONEMAN
EXEC VP SYSTEM DEVELOPMENT3722080147256059177015296402559307571980183690
GERALD OLIPHANT
EXEC VP & COO461201018047201886901156860237610799989000
GEORGES FEGHALI MD
CHIEF MEDICAL OFFICER378527026894301682401597270217340845755000
RICHARD MOORE
CHIEF INFORMATION OFFICER30234801021180311990984910140290548185000
WALTER MCLARTY
CHIEF HR OFFICER27248909444703524901060960198260528107000
STEPHEN SCHWALBE
SVP STRATEGIC PLANNING273174010749602008301144340191990534386000
DAVE DORNHEGGEN
COO-GOOD SAM/BETHESDA HOSPITALS275632010002902043401051990151690516463000
SHER MCCLANAHAN
SVP CLINIC/OP TRANSFORMATION27637009518801991901035220108670505866000
MICHAEL CROFTON
FORMER OFFICER2149260536260315240571360223110379523000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ATAX INDEMNIFICATION AND GROSS UP PAYMENTS: ALL DIRECTORS IN AN EMPLOYMENT POSITION OF VICE PRESIDENT AND HIGHER WITHIN TRIHEALTH, INC. ARE ELIGIBLE TO RECEIVE TAX GROSS-UP PAYMENTS ON THE FOLLOWING BENEFITS: * SUPPLEMENTAL OR SPLIT DOLLAR LIFE INSURANCE * EXECUTIVE HEALTH PROGRAM SERVICES * LONG-TERM DISABILITY INSURANCE * LONG-TERM CARE INSURANCE * FINANCIAL COUNSELING * BUSINESS CLUB MEMBERSHIPS * HEALTH CLUB MEMBERSHIPS IN ADDITION, DURING THE CALENDAR YEAR 2011, WILLIAM GRONEMAN RECEIVED A TAX INDEMNIFICATION AND GROSS UP PAYMENT ON A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PAYMENT. TRIHEALTH, INC. INCLUDED THE ENTIRE TAX INDEMNIFICATION AND GROSS UP PAYMENT AS TAXABLE INCOME ON THE INDIVIDUAL'S FORM W-2 FOR 2012. HEALTH OR SOCIAL CLUB OR INITIATION FEES: TRIHEALTH, INC. MAINTAINS A MEMBERSHIP IN A LOCAL SOCIAL CLUB IN THE NAME OF THE PRESIDENT & CEO AS THE SOCIAL CLUB REQUIRES THE MEMBERSHIP TO BE IN AN INDIVIDUAL'S NAME. THIS MEMBERSHIP IS A BUSINESS MEMBERSHIP FOR THE BENEFIT OF TRIHEALTH, INC. AS SUCH, THE MONTHLY DUES ARE PAID BY TRIHEALTH, INC. DURING THE CURRENT YEAR, THERE WAS NOT ANY PERSONAL USE BY THE PRESIDENT & CEO.
PART I, LINE 4BELIGIBLE EXECUTIVES (GENERALLY VICE PRESIDENT AND ABOVE) PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. TRIHEALTH, INC. CONTRIBUTED, ON BEHALF OF THE FOLLOWING INDIVIDUALS, TO A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE AMOUNTS AS NOTED: JOHN PROUT - $270,273 DONNA NIENABER, ESQ. - $80,229 MICHAEL CROFTON - $19,219 CRAIG RUCKER - $90,400 WILLIAM GRONEMAN - $91,107 GERALD OLIPHANT - $94,160 GEORGES FEGHALI, MD - $101,398 RICHARD MOORE - $56,778 STEVE SCHWALBE - $53,711 WALTER MCLARTY - $49,560 SHER MCCLANAHAN - $48,246 DAVE DORNHEGGEN - $48,639 IN ADDITION, THE FOLLOWING INDIVIDUAL LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY TRIHEALTH, INC.: JOHN PROUT - $623,396 WILLIAM GRONEMAN - $18,369
PART IIIPART I, LINE 4A - SEVERANCE PAYMENTS THE REPORTABLE INDIVIDUALS OF TRIHEALTH, INC. DO NOT HAVE EMPLOYMENT AGREEMENTS SO NO SPECIAL ARRANGEMENTS EXIST BEYOND THE ORGANIZATION'S STANDARD EMPLOYEE SEVERANCE PACKAGE. GENERAL SEVERANCE PAY IS BASED ON LENGTH OF SERVICE. IN ADDITION, NOTICE PAY, IF APPLICABLE UNDER TRIHEALTH, INC. POLICY, MAY BE ADDED TO THE SEVERANCE PACKAGE AND THE AMOUNT OF NOTICE PAY WILL BE DETERMINED BY HUMAN RESOURCES IN ACCORDANCE WITH TRIHEALTH, INC. POLICY. PAYMENTS OF SEVERANCE ARE CONDITIONED UPON SIGNING A SEPARATION AND RELEASE AGREEMENT. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. DURING THE 2012 CALENDAR YEAR.SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1THE MISSION OF TRIHEALTH, INC. IS TO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE. WE PURSUE OUR MISSION BY PROVIDING A FULL RANGE OF HEALTH RELATED SERVICES INCLUDING PREVENTION, WELLNESS AND EDUCATION. CARE IS PROVIDED WITH COMPASSION CONSISTENT WITH THE VALUES OF OUR ORGANIZATION. TRIHEALTH, INC. SERVES AS THE ENTITY THAT PROVIDES JOINT MANAGEMENT OF BETHESDA HOSPITAL AND GOOD SAMARITAN HOSPITAL UNDER AN AFFILIATION AGREEMENT BETWEEN BETHESDA, INC. AND CATHOLIC HEALTH INITIATIVES.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4BTRIHEALTH, INC. ("TRIHEALTH") COMBINES THE STRENGTHS OF TWO OF GREATER CINCINNATI'S FINEST HEALTH CARE ORGANIZATIONS, BETHESDA HOSPITAL, INC. ("BETHESDA") AND THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("GOOD SAMARITAN"). FORMED IN 1995, TRIHEALTH CREATED AN INTEGRATED HEALTH DELIVERY SYSTEM WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IT SERVES, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION. TRIHEALTH IS DEDICATED TO DELIVERING THE BEST CARE POSSIBLE. BETHESDA AND GOOD SAMARITAN HAVE VALUES ROOTED IN SPIRITUAL HERITAGE AND COMPASSIONATE SERVICES TO THE COMMUNITY. BETHESDA WAS FOUNDED IN 1896 BY GERMAN METHODIST DEACONESSES TO CARE FOR CINCINNATI'S SICK AND POOR. A CATHOLIC ORGANIZATION, GOOD SAMARITAN WAS ESTABLISHED IN 1852 UNDER THE SPONSORSHIP OF THE SISTERS OF CHARITY TO PROVIDE CARE FOR THE POOR AND MEDICALLY UNDERSERVED. IN KEEPING WITH THESE EARLY PURPOSES, TRIHEALTH CONTINUES TO PROVIDE UNCOMPENSATED CARE TO THOSE IN NEED. THE "TRI" IN TRIHEALTH REPRESENTS ITS HOSPITALS, PHYSICIANS AND COMMUNITY WORKING TOGETHER TO IMPROVE THE HEALTH AND WELLNESS OF THE PEOPLE IT SERVES. THE "TRI" ALSO EXPRESSES OUR COMMITMENT TO THE PHYSICAL, MENTAL AND SPIRITUAL ASPECTS OF HEALTH. IN SERVING THE COMMUNITY'S NEEDS, TRIHEALTH OFFERS COMPREHENSIVE SERVICES AT MORE THAN 50 CONVENIENT LOCATIONS IN THE GREATER CINCINNATI AND TRISTATE AREA. ITS SITES INCLUDE TWO HOSPITAL LOCATIONS AND PHYSICIAN OFFICE BUILDINGS IN ADDITION TO FITNESS, REHABILITATION, OCCUPATIONAL HEALTH AND OUTPATIENT CENTERS. TRIHEALTH ALSO PROVIDES SERVICES IN THE HOME AND IN THE WORKPLACE AND DELIVERS CARE AND EDUCATION COOPERATIVELY THROUGH COMMUNITY-BASED ORGANIZATIONS, SUCH AS CHURCHES, SCHOOLS, CLINICS AND SOCIAL AGENCIES. TRIHEALTH HOSPITALS HAVE BEEN RECOGNIZED LOCALLY AND NATIONALLY AS TOP-RATED IN MATERNITY CARE, NEONATAL INTENSIVE CARE, CARDIAC SURGERY AND CARDIOLOGY, ORTHOPEDICS, UROLOGY, NEUROLOGY/NEUROSURGERY, AND ENDOCRINOLOGY. TRIHEALTH PROVIDES ADMINISTRATIVE SUPPORT SERVICES FOR BOTH BETHESDA AND GOOD SAMARITAN AS WELL AS VARIOUS SUBSIDIARIES AND AFFILIATES. THE ADMINISTRATIVE SUPPORT SERVICES INCLUDE GENERAL ADMINISTRATION, INFORMATION SYSTEMS, FINANCE, HUMAN RESOURCES AND OTHER GENERAL SUPPORT SERVICES. THESE COSTS ARE ALLOCATED TO THE VARIOUS TRIHEALTH ENTITIES AND THE ENTITIES REIMBURSE TRIHEALTH AT COST. IN ADDITION, BETHESDA AND GOOD SAMARITAN EQUALLY FUND THE CASH FLOWS OF TRIHEALTH AND AS SUCH THE COSTS ALLOCATED BY TRIHEALTH ARE RECORDED AS EXPENSES ON THE FINANCIAL STATEMENTS OF BETHESDA AND GOOD SAMARITAN. THEREFORE, THE ALLOCATED SERVICE COSTS ARE PRESENTED ON TRIHEALTH'S FORM 990, PARTS VIII AND IX IN THE AGGREGATE AS THE EXPENSES ARE PRESENTED AS MANAGEMENT AND GENERAL EXPENSES ON THE FORMS 990 FOR BETHESDA AND GOOD SAMARITAN.
FORM 990, PART VI, SECTION A, LINE 2THE OFFICERS, DIRECTORS AND TRUSTEES OF TRIHEALTH, INC. LISTED IN PART VII, SECTION A HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARDS OF BETHESDA HOSPITAL, INC. AND THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, BOTH AFFILIATED ENTITIES OF TRIHEALTH, INC. AS WELL AS TRIHEALTH HOSPITAL, INC. A SUBSIDIARY OF TRIHEALTH, INC. WAYNE SHIRCLIFF, STUART DONOVAN, MD, CRAIG EISENTROUT, MD, ROBERT L. WALKER, MICHAEL HAVERKAMP, AND MYRTIS POWELL HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF BETHESDA, INC., THE SINGLE CORPORATE MEMBER OF BETHESDA HOSPITAL, INC. JOHN PROUT AND MYRTIS POWELL HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE, AN AFFILIATED ENTITY OF TRIHEALTH, INC. JOHN PROUT, DONNA NIENABER, ESQ., CRAIG RUCKER, WILLIAM GRONEMAN, GERALD OLIPHANT, GEORGES FEGHALI, MD, STUART DONOVAN, MD AND STEPHEN BLATT, MD HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED ENTITY BOARDS OF TRIHEALTH, INC. AND ITS SUBSIDIARIES AND AFFILIATES AS WELL AS BEING EMPLOYED BY TRIHEALTH, INC. OR ITS AFFILIATES/SUBSIDIARIES. SR. SALLY DUFFY AND MICHAEL MCGRAW HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER VIA AN UNRELATED TAX-EXEMPT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6TRIHEALTH, INC. HAS TWO CORPORATE MEMBERS, BETHESDA, INC. AND CATHOLIC HEALTH INITIATIVES, THE PARENT ORGANIZATION OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO.
FORM 990, PART VI, SECTION A, LINE 7ATRIHEALTH, INC. HAS TWO CORPORATE MEMBERS, BETHESDA, INC. AND CATHOLIC HEALTH INITIATIVES, THE PARENT ORGANIZATION OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, WHO HAVE THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF TRIHEALTH, INC.
FORM 990, PART VI, SECTION A, LINE 7BTRIHEALTH, INC. HAS TWO CORPORATE MEMBERS, BETHESDA, INC. AND CATHOLIC HEALTH INITIATIVES, THE PARENT ORGANIZATION OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, WHO MUST APPROVE AMENDMENTS TO TRIHEALTH INC.'S BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11MEMBERS OF THE BOARD ARE PROVIDED AN ELECTRONIC COPY OF FORM 990 PRIOR TO FILING. HOWEVER, FOR THE PROTECTION OF DONOR PRIVACY, SCHEDULE B - SCHEDULE OF CONTRIBUTORS WAS REMOVED FROM THE COPY PROVIDED TO THE BOARD. SUBSEQUENT TO PRESENTATION TO THE BOARD, THE ORGANIZATION FILES THE RETURNS MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH NON-SUBSTANTIVE CHANGES ARE NOT SUBMITTED TO THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12CALL BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE CERTAIN FINANCIAL INTERESTS AND FIDUCIARY RELATIONSHIPS. THE EXECUTIVE COMMITTEE AND CORPORATE COUNSEL REVIEW RESPONSES, CONDUCT FURTHER INVESTIGATION (IF NECESSARY), AND DETERMINE WHEN A CONFLICT EXISTS WITH RESPECT TO A CERTAIN TRANSACTION. IF A CONFLICT EXISTS, THE TRANSACTION IS NOT TO BE ENTERED INTO UNLESS ALTERNATIVES ARE FULLY INVESTIGATED, AND IN THEIR ABSENCE, THE BOARD, WITHOUT THE PARTICIPATION OF THE INTERESTED MEMBER(S), DETERMINES THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. PLANS TO MANAGE THE CONFLICT DURING THE RELATIONSHIP ARE IMPLEMENTED. ALL DISCUSSIONS ARE APPROPRIATELY DOCUMENTED. ALL DIRECTORS AND MANAGERS, WHICH INCLUDE OFFICERS AND KEY EMPLOYEES, ARE REQUIRED TO ANNUALLY DISCLOSE ANY CIRCUMSTANCES, INCLUDING FAMILY AND BUSINESS RELATIONSHIPS, THAT MAY CREATE A CONFLICT OF INTEREST FOR THE ORGANIZATION. THESE RESPONSES ARE REVIEWED AND ACTED UPON BY A CONFLICT OF INTEREST COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE ANNUAL PROCESS PERFORMED BY TRIHEALTH, INC. INCLUDED: COMPENSATION COMMITTEE; INDEPENDENT COMPENSATION CONSULTANT; COMPENSATION SURVEY OR STUDY; AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. ADDITIONALLY, ALL DISCUSSIONS AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19TRIHEALTH, INC.'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
AVERAGE HOURS PER WEEKFORM 990, PART VII, SECTION ADIRECTORS (AS NOTED WITH A "MED STAFF PRES" REFERENCE) FOR TRIHEALTH, INC. SERVE ON THE BOARD IN THEIR CAPACITY AS MEDICAL STAFF PRESIDENT FOR EITHER BETHESDA HOSPITAL, INC. OR THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO. COMPENSATION SHOWN OF $45,000 IS FOR HIS/HER DUTIES AS MEDICAL STAFF PRESIDENT OF THE RESPECTIVE HOSPITAL AND NOT FOR SERVING AS A DIRECTOR. IN ADDITION, THESE INDIVIDUALS SERVE AS FACULTY AT THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO. REMAINING COMPENSATION SHOWN IS FOR THOSE DUTIES AND NOT FOR SERVING AS A DIRECTOR.
OTHER FEESFORM 990, PART IX, LINE 11GCONSULTING: PROGRAM SERVICE EXPENSES 14,041,216. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,041,216. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 12,274,349. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,274,349. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 3,486,724. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,486,724. RECRUITMENT/RELOCATION SERVICES: PROGRAM SERVICE EXPENSES 1,042,600. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,042,600. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 2,874,429. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,874,429.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 9:CHANGE IN EQUITY OF SUBSIDIARIES/UNCONSOLIDATED ORGANIZATIONS -18,609,261. CHANGE IN PENSION PLAN/SERP FUNDED STATUS 7,323,634. PRIOR PERIOD ADJUSTMENT -2,940,970. NET INCOME OF GOOD SAMARITAN HOSPITAL FREE CLINIC (FILES FORM 990) 103,282.
EXECUTIVE COMMITTEE COMPOSITION & AUTHORITYFORM 990, PART VI, LINE 1ATHE BOARD OF TRUSTEES OF TRIHEALTH, INC. ("THE CORPORATION"), ESTABLISHED AN EXECUTIVE COMMITTEE WHICH MAY EXERCISE SUCH POWER AND AUTHORITY OF THE BOARD OF TRUSTEES IN INTERVALS BETWEEN MEETINGS OF THE BOARD AS AUTHORIZED BY THE BOARD. THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT & CEO, SECRETARY AND TWO OTHER BOARD MEMBERS ALL IN ACCORDANCE WITH THE NETWORK AFFILIATION AGREEMENT.
CHANGE IN PROCESS OF AUDIT OVERSIGHT OR SELECTION OF INDEPENDENT AUDITORFORM 990, PART XII, LINE 2CTHE FINANCIAL STATEMENTS OF TRIHEALTH, INC. ARE AUDITED WITH ITS SUBSIDIARIES AND AFFILIATES ("TRIHEALTH"). TRIHEALTH HAS A COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF BOTH ITS AND ITS SUBSIDIARIES AND AFFILIATES FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF THE INDEPENDENT AUDITOR. DURING THE TAX YEAR, THERE WAS NOT A CHANGE IN THE PROCESS OF AUDIT OVERSIGHT AND/OR SELECTION OF AN INDEPENDENT AUDITOR BY TRIHEALTH.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1TRIHEALTHSCA HOLDINGS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1619 OAK STREET - ACCOUNTING 3 WESTAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45206ZIPCode
FieldValueIRS element (for citing)
Primary ActivitiesINVESTMENT HOLDING COMPANYPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BETHESDA HOSPITAL INC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206310537122INPATIENT AND OUTPATIENT SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 3TRIHEALTH INC1
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206310537486INPATIENT AND OUTPATIENT SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 3TRIHEALTH INC1
TRIHEALTH PHYSICIAN ENTERPRISE CORP
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206311383365PHYSICIAN PRACTICESOHSECTION 501(C)(3)SCHEDULE A, LINE 9TRIHEALTH INC1
TRIHEALTH PHYSICIAN INSTITUTE
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206311074519PHYSICIAN PRACTICESOHSECTION 501(C)(3)SCHEDULE A, LINE 9TRIHEALTH INC1
GOOD SAMARITAN HOSPITAL FREE CLINIC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206273893817FREE CLINICOHSECTION 501(C)(3)SCHEDULE A, LINE 7TRIHEALTH INC1
TRIHEALTH HOSPITAL INC
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206461393755INPATIENT AND OUTPATIENT SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 3TRIHEALTH INC1
BETHESDA HEALTHCARE INC
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206311027660HEALTHCARE SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 11BBETHESDA INC1
BETHESDA FAMILY PRACTICE CENTER
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206311242442HEALTHCARE SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 11CBETHESDA HOSPITAL INC1
BETHESDA PROPERTIES INC
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206311352694PROPERTY MANAGEMENTOHSECTION 501(C)(2)BETHESDA HOSPITAL INC1
HOSPICE OF CINCINNATI INCORPORATED
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206310917155HOSPICE SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 9BETHESDA HOSPITAL INC1
FERNSIDE INC A CENTER FOR GRIEVING CHILDREN
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206311179234COUNSELING TO GRIEVING CHILDRENOHSECTION 501(C)(3)SCHEDULE A, LINE 7HOSPICE OF CINCINNATI INCORPORATED1
GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206311778403EDUCATIONOHSECTION 501(C)(3)SCHEDULE A, LINE 2THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO1
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206237419853DIALYSISOHSECTION 501(C)(2)THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO1

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
TRIHEALTH PHYSICIAN SOLUTIONS INC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206311444353CLAIMS ADMINISTRATIONOHN/AC42132266468281.000001
TRIHEALTH PHYSICIANS OF INDIANA INC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206461125130PHYSICIAN PRACTICESOHN/AC1
TRIHEALTH CIPHO INC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206463294306PHYSICIAN HEALTH ORGANIZATIONOHN/AC1.000001
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (26 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
BETHESDA HOSPITAL INC
A5693FMV
TRIHEALTH PHYSICIAN ENTERPRISE CORP
A438120FMV
TRIHEALTH HOSPITAL INC
B104000000CASH
TRIHEALTH PHYSICIAN ENTERPRISE CORP
B19045040CASH
TRIHEALTH PHYSICIAN INSTITUTE
B37639748CASH
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
K1288FMV
BETHESDA PROPERTIES INC
K373469FMV
BETHESDA HOSPITAL INC
M176700FMV
BETHESDA HEALTHCARE INC
M1567660FMV
TRIHEALTH PHYSICIAN SOLUTIONS
O2314781FMV
GOOD SAMARITAN HOSPITAL FREE CLINIC
O222973FMV
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
P184739498COST
BETHESDA HOSPITAL INC
P188611040COST
TRIHEALTH PHYSICIAN ENTERPRISE CORP
P59637439COST
TRIHEALTH PHYSICIAN INSTITUTE
P16291385COST
TRIHEALTH PHYSICIAN SOLUTIONS
P1388681COST
TRIHEALTH HOSPITAL INC
P8568168COST
GOOD SAMARITAN HOSPITAL FREE CLINIC
P194510COST
BETHESDA PROPERTIES INC
P2962276COST
BETHESDA HEALTHCARE INC
P6896052COST
HOSPICE OF CINCINNATI INCORPORATED
P14002164COST
FERNSIDE INC A CENTER FOR GREIVING CHILDREN
P145567COST
GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE
P928746COST
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
Q85246195COST
BETHESDA HOSPITAL INC
Q81903207COST
TRIHEALTH PHYSICIAN ENTERPRISE CORP
R1922765COST